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- Title
Wpływ ćwiczeń wymuszających przepływ powietrza przez jamę nosową na funkcję zmysłu węchu u chorych po całkowitym usunięciu krtani.
- Authors
ZIMMER-NOWICKA, JOANNA; BŁASZCZYK, TOMASZ; KACZMARCZYK, DARIUSZ; MORAWIEC-SZTANDERA, ALINA
- Abstract
Introduction. Current recommendations in medicine emphasise not only medical treatment of the neoplastic diseases but also a need of complex rehabilitation of the patients. Although the olfaction is always impaired after laryngectomy, the rehabilitation of the patients after that type of surgery rarely includes methods that are aimed at restoring the ability to smell. Aim. Subjective assessment of the olfactory organ in patients after larygectomy and an analysis of the course and success rate of rehabilitation of the olfactory sense carried out as a part of routine post-operative care of these patients. Material and methods. The study group included 80 patients (20 women and 60 men), mean age 62,1±8,6 years, after total laryngectomy. All patients filled the questionnaire and underwent both laryngological examination and a 2-week rehabilitation of the olfactory sense intended to enforce air infl ow through the nasal cavity. Results. Seventy two patients (90%) reported a partial or complete loss of smell after laryngectomy. After the rehabilitation, 35 patients (43.8%) noticed an improvement of smelling. The results of olfaction rehabilitation were found to be unaff ected by age, gender, type of voice rehabilitation or chemotherapy. The only factors that adversely aff ected the rate of success of the rehabilitation were radiotherapy and long time since the surgery till the commencement of rehabilitation procedures. Conclusions. Disorders of the olfactory organ are frequent after laryngectomy and could be easily diagnosed by medical interview. Olfactory sense rehabilitation in the patients after laryngectomy should be an obligatory part of the full postlaryngectomy medical care.
- Subjects
OLFACTORY nerve; LARYNGECTOMY; REHABILITATION; MEDICAL care
- Publication
Otorynolaryngologia, 2008, Vol 7, Issue 3, p133
- ISSN
1643-658X
- Publication type
Article